Individual
SHAAN SUDHAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8455 COLESVILLE RD STE 200, SILVER SPRING, MD 20910-6347
(301) 960-5958
Mailing address
11350 MCCORMICK ROAD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD046389
DC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD046389
DC
Other
Enumeration date
05/14/2013
Last updated
07/26/2021
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